Crossroads For Life Ministries

Use this form to let us know about decisions or prayer requests, or to let us know you're here. Please complete the following fields, then click Submit.

Name (Required)

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I am a: (Required)

Please tell us who you are

First Time Guest

Regularly Attend (Not A Member)

Member

Your Name (Required)

Your email address (Required)

Birthday

Gender (Required)

Marital Status

Spouse Name ( Type N/A, if not applicable)

Please list child(ren) name(s) under the age of 18: (Type N/A, if not applicable)

Mailing Address

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My Decision Today: I want to... (Required)

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Renew my commitment to Christ

Obtain assistance or be connected with resources

Receive spiritual advisement

Request Baby Dedication

Best Contact Number (Required)

Best Time To Reach You?

Questions? Comments?

Crossroads For Life Ministries

12591 Veterans Memorial Hwy, Douglasville, GA 30134